Assistive Devices
How should elbows be during crutch walking?
A. Straight
B. Flexed
C. Bent at a 45*
Flexed
The nurse should identify that which of the following medication classifications increases the risk of constipation?
A. Antibiotics.
B. Narcotics
C. Antacids
D. Loperamide
Narcotics
A nurse is caring for a client who has been sitting in a chair for 1 hour. Which of the following complications is the greatest risk to the client?
A. Decreased subcutaneous fat
B. Muscular atrophy
C. Pressure ulcer
D. Fecal impaction
C - Pressure ulcer
True or False
Singing, praying, listening to music, and playing games, are types of distraction techniques for pain
True
A nurse is caring for a client who is at high risk for aspiration.
Which of the following actions should the nurse take?
A. Give the client thin liquids.
B. Instruct the client to tuck her chin when swallowing.
C. Have the client use a straw.
D. Encourage the client to lie down and rest after meals
B. Instruct the client to tuck her chin when swallowing.
True or False
The patient should bear weight on the axilla during crutch walking?
False
True or False
Nephrostomy tubes are short-term use.
True
A nurse is caring for a client who is postoperative. Which of the following interventions should the nurse take to reduce the risk of thrombus development? (Select all that apply.)
A. Instruct the client not to perform the Valsalva maneuver.
B. Apply elastic stockings.
C. Review laboratory values for total protein level.
D. Please pillows under the client's knees and lower extremities.
E. Assist the client to change positions often.
B, E
(A = The Valsalva maneuver increases the workload of the heart, but it does not affect peripheral circulation.)
(D = Placing pillows under the knees and lower extremities can impair circulation of the lower extremities.)
Which may interact with prescribed analgesics?
A. Herbals used by patient caution
b. Tens Central Physiology Process
C. Define Music's contribution to pain reduction
D. Heat applications characteristics
A
This is why it is important to ask patients to report all of the substances they take to relieve pain to their health care provider.
A nurse is preparing a presentation about basic nutrients for a group of high school athletes. She should explain which of the following nutrients provides the body with the most energy?
A. Fat
B. Protein
C. Glycogen
D. Carbohydrates
D. Carbohydrates
Walking DOWN stairs with crutches, which leg is moved first?
A. The affected Leg
B. The non-affected leg
The affected leg
Where is vitamin K produced in the body?
A. Large Intestine
B. Small Intestine
C. Stomach
D. Pancreas
A. The large intestine
A nurse is planning care for a client who is on bed rest. Which of the following interventions should the nurse plan to implement?
A. Encourage the client to perform anti embolic exercises every 2 hr.
B. Instruct the client to cough and deep breaths every 4 hr.
C. Restrict the client's fluid intake.
D. Reposition the client every 4 hr.
A
(A = To promote venous return and reduce the risk of thrombus formation.)
(B = Every 1 to 2 hr to reduce the risk of atelectasis.)
(D = Every 1 to 2 hr to reduce the risk for pressure ulcers.)
What non-pharmacological comfort measures can the nurse provide to a patient in pain.
A. Hot/Cold application
B. Tell the patient the pain is in their mind and is not real.
C. Massage the bony area where the pain is located.
A
A nurse is caring for a client who requires a low‑residue diet. The
the nurse should expect to see which of the following foods on the client's meal tray?
A. Cooked barley
B. Pureed broccoli
C. Vanilla custard
D. Lentil soup
C. Vanilla custard
How far should a walker be in front of a patient when walking?
A. 6 inches
B. 12 inches
C. 4 inches
D. 2 feet
B. 12 inches
Who should the nurse identify as being at high risk for increased urinary infections? (select all that apply)
Uncircumcised infants
School-age children
Middle adults
Older adults
Young adults
Uncircumcised infants
School-age children
Older adults
A nurse is evaluating teaching a client who has a new prescription for a sequential compression device. Which of the following client statements should indicate to the nurse the client understands the teaching?
A. "This device will keep me from getting sores on my skin."
B. "This thing will keep the blood pumping through my leg."
C. "With this thing on, my leg muscles won't get weak."
D. "This device is going to keep my joints in good shape."
B
A patient is starting to have anxiety caused by their pain medication not working. The nurse has already called the provider about the current pain medication not working. The provider has placed a new order, but the pharmacy is behind, and it will be an hour before the medication is ready. What should the nurse do?
A. Give the patient a different pain medication?
B. Do not go back into the patient's room until their medication is ready?
C. Try helping the patient reposition?
D. Turn on soft music and calmly explain what is going on to the patient.
D
A nurse in a senior center is counseling a group of older adults
about their nutritional needs and considerations. Which of the
following information should the nurse include? (Select all that apply.)
A. Older adults are more prone to dehydration than younger adults are.
B. Older adults need the same amount of most vitamins and minerals as younger adults do.
C. Many older men and women need calcium supplementation.
D. Older adults need more calories than they did when they were younger.
E. Older adults should consume a diet low in carbohydrates
A.
B.
C.
Who should not use a rolling walking? Due to their disease.
A. Osteoporosis
B. Multiple Sclerosis
C. Muscular Dystrophy
D. Parkinsons
D. Parkinson's
A nurse is caring for an older adult client who is experiencing urinary leakage. Which of the following is an expected age-related change that can contribute to this occurrence?
A. Urge incontinence
B. Overflow incontinence
C. Loss of bladder tone
D. Enlarged prostate
C. Loss of bladder tone
A nurse is instructing a client, who has an injury of the left lower extremity, about the use of the cane. Which of the following instructions should the nurse include? (Select all that apply.)
A. Hold the cane on the right side.
B. Keep two points of support on the floor.
C. Please the cane 38 cm (15 in) in front of the feet before advancing.
D. After advancing the cane, move the weaker leg forward.
E. Advance the stronger leg so that it aligns evenly with the cane.
a
b
d
(E = The client should advance the stronger leg past the cane.)
What are non-pharmacological approaches used for the management of noncommunicable diseases?
A. Acupuncture.
B. Massage Therapy
C. Analgesics
D. Chiropractic
A, B, D
You're providing diet teaching to a patient with an ileostomy. Which foods should the patient consume in very small amounts or completely avoid?
A. Peanut butter, bananas, rice
B. Corn, popcorn, nut, and seeds
C. Grape juice, bread, and pasta
D. Vinegar, soft drinks, and cured meats
B.
The foods in option B are difficult to digest and could block the stoma. The patient should either consume these foods in VERY small amounts or avoid them together.